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Mary Nissen, OTR/L
Specialist in Mundelein, Illinois
NPI 1548599707

Mary Nissen is a Specialist based in Chicago, IL. Mary Nissen practices in Mundelein, IL and has the professional credentials of OTR/L. The NPI Number for Mary Nissen is 1548599707 and holds a License No. 056-007166 (Illinois).

The current practice location address for Mary Nissen is 328 N Shaddle Ave, Mundelein, IL and can be reached out via phone at 847-566-9860 and via fax at 847-566-9861. You can also correspond with Mary Nissen through the mailing address at 1932 W CRYSTAL ST, CHICAGO, IL - 60622-3132 (mailing address contact number: 847-784-9115).

Location: 328 N Shaddle Ave, Mundelein, IL, 60622-3132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548599707
Provider Name
Mary Nissen
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
328 N Shaddle Ave, Mundelein, IL, 60622-3132
Phone Number
847-566-9860
Fax Number
847-566-9861
Provider Enumeration Date
12/17/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
328 N Shaddle Ave
City
Mundelein
State
Illinois
Zip
60060-2411
Phone Number
847-566-9860
Fax Number
847-566-9861
person
Provider Business Mailing Address Details
Address
328 N Shaddle Ave
City
Mundelein
State
Illinois
Zip
60060-2411
Phone Number
847-566-9860
Fax Number
847-566-9861
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
056-007166 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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